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HomeMy WebLinkAboutContract 2012 2473 t Vehicle Purchase Contract Stock# County dr Date: ° Salesperson: �— Buyer Last Name. " RE'r'st Middle Address: „ d"m CCity: State: Zip: z x Driver's Lic. # PH: Res. Bus: D.O.B.: i Co-Buyer Last Name: First Middle Address: City: State: Zip: Driver's Lic. # PH: Res. Bus: D.O.B.: 3 i Lien Holder Address: i insurance Company Policy# Phone Please Enter My Order For: New❑ Used ❑ Ye Make ar ,., Modef " s _Body a Vin # w P_a Ag �Lic. # Mileage Color :" . Make of Used Car Trade In Price of Vehicle ` $ :k Year Body Type Model _ _ W Options $ Mileage License Serial# — — Total Vehicle Price $ Less-Trade-In Allowance $ IMPORTANT The information you see on the window form for this - --- vehicle is part of this contract. Information on the window form overrides Taxable Amount �— $ any contrary provisions in the contract of sale. Safes Tax $ r _ _ _ Any motor vehicle sold to Purchaser by Dealer under this Order is sold Document Administration Fee $ WITHOUT WARRANTY, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED — WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PUR- License Fee $ POSE as to its condition or the condition of any part thereof except as may be Title Fees J $ specifically provided in a separate writing furnished to Purchaser by Dealer. BUYER _ f SHALL NOT BE ENTITLED TO RECOVER FROM THE SELLER ANY CONS& Transfer Tax $ s QUENTIAL DAMAGES, DAMAGES TO PROPERTY, DAMAGES FOR LOSS OF USE, LOSS OF TIME, LOSS OF PROFITS OR INCOME OR ANY OTHER Public Safety Vehicle Fee $ INCIDENTIAL DAMAGES. The Seller neither assumes nor authorizes any other State/Deputy Filing Fee $ person to assume for it any liability in connection with the sale of such vehicle. This - disclaimer in no way affects the terms of any remaining Manufacturer's warranty. Vehicle Service Contracts $ — — i POLLUTION CONTROL SYSTEM DISCLOSURE Subtotal $ In order to comply with the Minnesota Statutes,Section 325E.0951,no person may Lien Balance on Trade-in $ transfer a motor vehicle without providing a written disclosure to the transferee _ (buyer)certifying the condition of the pollution control system. Less Cash Deposit $ I Transferor (seller) hereby certifies, to the best of his/her knowledge, that the pollution control system on this vehicle,including the restricted gasoline pipe,has Less Cash Down $ not been removed,altered,or rendered inoperative. $ k x I Transferor's(S6`1ler's),Signature Transferee's(Buyer's)Signature Balance Due on Delivery $ I IMPORTANT; THIS MAY BE A BINDING CONTRACT AND YOU MAY LOSE THIS ORDER IS",NbT,BINpJNG UNTIL ACCEPTED BY DEALER. ANY DEPOSITS RM ACCORDING TO ITS TERMS. Accepted By _ X " Buyers Signature Accepting X Terms of Contract 0",AbRTI-ILAND 1990 Reorder: NORTHLAND•850 E.Cliff Road-Burnsville, MN 55337.952/894-1766-PART#6A s